to main content Texas Levels of Maternal Care Program | The ËÄ»¢Ó°Ôº

ËÄ»¢Ó°Ôº

As part of the fight to reduce maternal mortality and morbidity, Texas law requires all hospitals that provide maternity services to receive a maternal level of care designation to receive Medicaid reimbursement for obstetrical care.

In 2025, The ËÄ»¢Ó°Ôº became an approved accrediting organization within the State of Texas to perform Maternal Designation surveys. The ËÄ»¢Ó°Ôº is a performance improvement organization that partners with the State of Texas to validate hospitals’ capabilities and resources to provide risk appropriate maternal care and assess the level of care compliance. We partner with local physicians and recruit Texas-based obstetrician-gynecologists, maternal nurses, and maternal-fetal medicine specialists to serve as surveyors for the program.

Our process provides a local, confidential, and collegial survey that adheres to the Texas Administrative Code and focuses on quality and collaboration.

Why Choose The ËÄ»¢Ó°Ôº?

As leaders in the cause to reduce maternal mortality and morbidity, The ËÄ»¢Ó°Ôº is uniquely positioned to perform site surveys by:

  • Performing the survey in compliance with the Texas Administrative Code
  • Utilizing a collaborative approach that is consistent, fair, and in line with the highest degree of professionalism and confidentiality
  • Providing objective and neutral documentation
  • Partnering with hospital leadership throughout the process

The Process

A high-level overview of what a ËÄ»¢Ó°Ôº Levels of Maternal Care survey looks like:
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Pre-Visit

  • Submit a survey application
  • Work with The ËÄ»¢Ó°Ôº to select a survey date
  • Complete and submit contract, pre-assessment form, and policies and procedures
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Site Visit Day 1

  • Medical record review
  • Meet with Medical Director and Program Manager to review chart findings and ask questions
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Site Visit Day 2

  • Interviews with staff
  • Tour of facility
  • Debriefing session to discuss findings, clarify any concerns, and provide consultation
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Post-Visit

Medical record review forms, chart summary form, completed site audit form, and a confidential summary report are provided to the facility. Forms are submitted with the facility's Department of State Health Services (DSHS) application for designation. The confidential summary report is retained by the facility and not included with the DSHS application.

Additional Resources

Browse our collection of useful tips, FAQs, and other resources to help you navigate the Levels of Maternal Care survey process.

FAQs & Other Resources

Find answers to your most pressing questions about the Texas Levels of Maternal Care Program.

Maternal Care Designation Tips

The ËÄ»¢Ó°Ôº's Texas Levels of Maternal Care Program has collected many practical tips from maternal site visits completed at each level.

Changes to Maternal Designation Rules